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Vascular and Endovascular Surgery
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Endovascular Management of Hoarseness Due to a Thoracic Aneurysm: Case Report and Review of the Literature

Wesley K. Lew, MD

Department of Surgery, University of Southern California, Los Angeles, California

Kevin Patel, MD

Cardio Vascular Thoracic Institute University of Southern California, Los Angeles, California

Omar P. Haqqani, MD

Department of Surgery, University of Southern California, Los Angeles, California

Fred A. Weaver, MD, FACS

Cardio Vascular Thoracic Institute, University of Southern California, Los Angeles, California, fweaver{at}surgery.usc.edu

Although uncommon, hoarseness can be a presenting symptom of a thoracic aneurysm. We present a case of a 67-year-old man with hoarseness, subsequently found to have left vocal paralysis. On workup, a computed tomography scan demonstrated a saccular thoracic aneurysm compressing the recurrent laryngeal nerve at the aortopulmonary window. About 6 months after treatment with an endovascular stent graft, the aneurysm sac decreased in size and hoarseness resolved without further surgical intervention. Although uncommonly mentioned as an indication for surgery, hoarseness from a thoracic aneurysm can be successfully managed with endovascular stent grafting.

Key Words: penetrating ulcer • thoracic aorta • endovascular • stent graft • hematoma • hoarseness • recurrent laryngeal nerve

This version was published on April 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 2, 195-198 (2009)
DOI: 10.1177/1538574408324616
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